Birthday Party Release Form

Berks Gymnastic Academy     (610) 372-8454

No adults are permitted on the gym floor.

 

Child’s Name _________________________________________

 Address _____________________________________________

 City ________________________________________________

 Phone # _____________________________________________

 Age ____________            Student at Berks?   Yes      No

 Guest of ____________________________________________

 My Child has my permission to participate as a guest in all the activities at Berks Gymnastics.

 We at Berks take pride in providing a safe and healthy environment. However, gymnastics is a sport and as in any sport no matter how careful the gymnast and coaches are, the risk of injury cannot be completely eliminated.

While on the premises at this event, I release Berks Gymnastics and all of its employees of any liability damages while my child takes part in these activities.

     * I also acknowledge that my child is in good health and able to participate.

 Sign ________________________________ Date _____________

Berks Gymnastic Academy     (610) 372-8454

No adults are permitted on the gym floor.

 

Child’s Name _________________________________________

 Address _____________________________________________

 City ________________________________________________

 Phone # _____________________________________________

 Age ____________            Student at Berks?   Yes      No

 Guest of ____________________________________________

 My Child has my permission to participate as a guest in all the activities at Berks Gymnastics.

 We at Berks take pride in providing a safe and healthy environment. However, gymnastics is a sport and as in any sport no matter how careful the gymnast and coaches are, the risk of injury cannot be completely eliminated.

While on the premises at this event, I release Berks Gymnastics and all of its employees of any liability damages while my child takes part in these activities.

     * I also acknowledge that my child is in good health and able to participate.

 Sign ________________________________ Date _____________